Active NPI
Christopher Cruz, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Chula Vista, CA
National Provider Identifier
1649395575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 51331
- Practice address
- 1415 Ridgeback Rd
Suite 3
Chula Vista, CA 91910-6932 - Phone
- (619) 421-5060
- Fax
- (619) 421-1456
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 51331 | CA | Primary |
Addresses
Primary practice location
1415 Ridgeback Rd
Suite 3
Chula Vista, CA 91910-6932
Mailing address
1943 Felspar St
San Diego, CA 92109-3521
Phone (858) 272-8605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51331 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649395575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1943 FELSPAR ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921093521",
"telephone_number": "858-272-8605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 RIDGEBACK RD",
"address_2": "SUITE 3",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919106932",
"telephone_number": "619-421-5060",
"fax_number": "619-421-1456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "51331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.